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Governor's Newsletter, Winter 2000

Governor's First Newsletter of the Millennium

I wish you all a happy New Year.

I am excited to begin my journey as Governor for the Navy Chapter of the ACP-ASIM. I am looking forward to working with our members in order to represent your interests to the College as best as I can. I extend my deep appreciation to CAPT. Stephen Beuttel for his outstanding leadership as our Governor from 1995-1999. Under CAPT. Beuttel's guidance, our Chapter received two Evergreen Awards and four Chapter Management Awards for exemplary performance as a Chapter.

My goals for our Chapter include the following:

  • Increase our membership.
  • Increase participation of members in Chapter activities.
  • Mentor members to advance to Fellowship.
  • Improve communication among the Chapter leadership and the members.
  • Serve as an advocate for the Chapter members to the ACP-ASIM Board of Governors and the Board of Regents.
  • Build our Associates' activities.
  • Initiate podium/poster session for medical students.
  • Establish/encourage volunteer activities in our Chapter.
  • Enhance the communication and involvement of former Navy internists and those who are in the Reserves in our Chapter activities.

This year, our Chapter's emphasis is: "Mentoring Medical Students." We will establish a Medical Students Council, which is different from the Medical Students Committee. The goals and structure of this new Council are described on page 4 of this newsletter, under the Committee section.

The ACP-ASIM Annual Session will be held in Philadelphia, April 13-16, 2000. Special features include recertification courses, a history of Medicine series and computer workshops. To register, please visit ACP-ASIM Online. If you are attending, remember to attend the DOD reception. This gives us an opportunity to share "sea-stories," meet our colleagues from other hospitals, those who are former Navy internists.

I am glad to announce that our Chapter received a "Chapter Management Award" for 1999. This reflects the hard work of members, chairs of Committees and CAPT. Beuttel.

Chapteral Meeting at San Diego

The Chapteral Meeting was a phenomenal success with the attendance at a record high of 150 attendees. It was exemplary in all aspects. The theme "Amphibious Assault 2005," with topics on Bioterrorism and Chemical agents injury, were highly relevant and educational.

The Program Committee under the direction of LCDR. Patti Pepper, Program Chair, was instrumental in the success of the program. The Associates were outstanding in demonstrating their commitment to academic excellence through their poster and podium presentations. The enthusiasm and motivation of our Associates was refreshing to all the attendees. The Associates luncheon was well attended. Adm. Bonnie Potter outlined the challenges of Military Internists, the training required for operational readiness, and her strong support and vision of Navy GME programs. The function on Saturday evening was one of the highlights of the program - Evening at the Zoo.

Report from the Program Coordinator of the Chapteral Meeting

By: LCDR. Patricia Pepper

The Navy ACP-ASIM Chapteral meeting was held in San Diego from October 22-24, 1999. There were 150 registrants.

A. We had 8 podium presentations by our Associates. The judges were RADM. Bonnie Potter, CAPT. Connie Mariano and CAPT (Ret) Stephanie Brodine. The winners of this session were:

  1. David Murray, MD, National Naval Medical Center, Bethesda
    "Phase 1 trial of Pyraloacridine (PZA) given a s weekly 24-hour continuous Intravenous Infusion in Adult Patients with refractory Solid tumors"
  2. Bruce Clemons, MD, National Naval Medical Center, Bethesda
    "Do Dimunitive Adenomas found on Flexible Sigmoidoscopy Predict the Presence of Advance Adenomas in the Proximal colon?"
  3. Ryan C. Maves, MD, Naval Medical Center, San Diego
    "TIPS versus Operative Portosystemic Shunts in Compensated Cirrotics"

B. There were 48 Associate Poster presentations. The judges were CDR. Eric Holmboe, CAPT. Fred Millard and CDR. David Lasseter. The winners of this session were:

  1. Dolores Rhodes, MD, Naval Medical Center, San Diego
    "Compliance with the American Cancer Society's Guidelines for Colorectal Cancer"
  2. John H Smith, MD, National Naval Medical Center, Bethesda
    "Blood Pressure Control in a Consecutive Sample of Diabetic Hypertensive Patients"
  3. Glen M. Arluk, MD, Naval Medical Center, Portsmouth
    "Endoscopic Ultrasound and fine Needle Aspiration in the Evaluation of Mediastinal Masses above the Aortic Arch"
  4. Margaret Oberman, MD, Naval Medical Center, Portsmouth
    "A Comparison of a Family Practice Residency Program versus a Family Practice Clinic and Compliance to ADA guidelines"
  5. There were two third place winners Dr. Arluk and Dr. Oberman

There were two posters that received Honorable Mention:

  1. Helen Chun, MD, Naval Medical Center, San Diego
    "Development of Fascitis Following Intramuscular Administration of Medications"
  2. Clayton Smiley, MD, Naval Medical Center, San Diego
    "Calciphylaxis in Moderate Renal Insufficiency"

Each year our Chapter presents one "Teacher of the Year" award to a staff member from each of the major teaching hospitals. The names are selected by the Head of the Department based on the recipient's contributions to the Internal Medicine training program. The 1999 "Teacher of the Year" Award winners were:

  1. CDR. Eric Holmboe - National Naval Medical Center, Bethesda
  2. CDR. Walter Coyle and CDR. Wesley Emmons - Naval Medical Center, Portsmouth
  3. LCDR. Renee Lee - Naval Medical Center, San Diego

Each year our Chapter also presents one award to each of the Programs for an "Outstanding Resident." The winners of the 1999 "Outstanding Resident" Award were:

  1. NNMC: LT. Michael Keith
  2. NMCP: LT. Charmagne Goodman
  3. NMCSD: LT. Elizabeth V. Dang

The recipients of this year's Chapter Laureate Award were:

  1. Stephen Beuttel, MD, Naval Medical Center, Portsmouth
  2. Mohammed Shakir, MD, National Naval Medical Center, Bethesda

The College Representative for this Chapteral Meeting was Dr. Robert Gibbons, Regent of the College. He shared the vision of the College and encouraged us to be active in the College.

Our Chapter's 2000 Chapteral Meeting will be hosted by NNMC, Bethesda.

Navy Chapter Committees

The Navy Chapter accomplishes its mission through the active participation of members of the following Council and Committees - Governor's Advisory Council; Associates' Council; Membership Committee; Health and Public Policy Committee; Program Committee; Newsletter Committee; Awards Committee; Community/Volunteerism Committee; and Medical Students Committee. This year, we have added two new Committees and one new Council - the Web site and Social Activities Committees and the Medical Students Council. We are working on updating our Web site by March, 2000. It will have information on the various activities and initiatives of our Chapter.

The new initiative for our Chapter is establishing the Medical Students Council. The goal of this Council is to improve the communication and interaction between the medical students and the practicing physicians; provide a forum to address the needs of the medical students; provide guidance and mentorship in choosing internal medicine as their specialty; and to foster scholarly activities through abstract presentations at chapteral and national meetings.

The Medical Student Council will have 12-14 members, with a minimum of three students from each class. The Council's Chair and Vice-Chair will be selected from the fourth year students who have chosen Internal Medicine as their career. There will also be a Secretary position, which will be chosen from the third year students. An ACP-ASIM faculty member will be assigned as the mentor for this Council, which will meet regularly at 4-6 month intervals.

The February update of our Web page will have the names of the members of this newly formed Medical Students Council. We will establish Medical Student Scholarly activity Sessions, wherein they will have the opportunity to present abstracts. Medical Students are the future of Navy Internists. We must mentor them beginning at the first year level.

The following are the Council and the Committees of our Chapter. The Chair of the Council/Committee is highlighted.

Governor's Advisory Council

Angeline Lazarus
John Bestaso
Stephen Beuttel
David Connito
Terrance Dwyer
Kim Gibson
Robert Goldstein
Eric Holmboe
Lisa Inouye
Joel Lees
John Mitas
Brian Monahan
Patricia Pepper
Richard Scranton
Ann Yoshihashi
Harold Groff (Medical Student Council rep)
Michael Keith (Chair, Associates Council)

Associates' Council

Michael Keith
Anthony Hoovier
Arthur Pemberton
Kevin Kempf
Gautham Nayak
Erich Wedam
John Mansuetti

Program Committee

Kevin O'Neil
Angeline Lazarus
Patricia Pepper
John Bestaso
David Connito
Anthony Barile
Jeff Hardin
Melissa Means-Markwell

Awards Committee

Walter Coyle
Ann Yoshihashi
Brooks Cash
Richard Keating
Erich Wedam
Angeline Lazarus

Health and Public Policy Committee

Christine Hunter
Angeline Lazarus
David Connito
Joel Lees
John Mitas
Lisa Inouye
Patricia Pepper
Robert Goldstein
Stephen Beuttel
Chris Culp

Medical Students Advisory Committee

Kim Gibson
Angeline Lazarus
Richard Hawkins
Eric Holmboe
Melissa Means-Markwell
Gregory Martin
Ray Pumarejo
John Mansuetti

Membership Committee

Lisa Inouye
John Bestaso
Catherine Decker
Terrance Dwyer
John D Malone
Associate position vacant

Finance Committee

Terrance Dwyer
Patricia Pepper
Anthony Barile
David Connito
Kevin O'Neil

Volunteerism/Community Service Committee

Richard Scranton
Angeline Lazarus
Mark Johnston
Gautam Nayak

Social Activities Committee

David Connito
Gregory Martin
Julia Caron
Associate: John Bassett

Web Site Committee

Jeff Tjaden
Angeline Lazarus
Richard Scranton
Patricia Pepper

If you are interested in serving on any of the above Committees, please e-mail CAPT. Angeline Lazarus at bth0aal@bth20.med.navy.mil.

Advancement from Membership to Fellowship

Let me share with you a summary of the requirements and pathways that a candidate must fulfill and/or meet in order to become a Fellow of the College.


  • Be certified by the American Board of Internal Medicine or the Royal College of Physicians and Surgeons of Canada or the American Osteopathic Board of Internal Medicine;
  • Have been a member in good standing for 2 years in either the ACP or ASIM and have held a position or in academia for at least two years since completion of training;
  • Have an active medical license in good standing (if in clinical practice);
  • Have confined professional activity to internal medicine or a subspecialty of internal medicine;
  • Be proposed and seconded with detailed letters of support from two current Masters or Fellows with reference to character, ethics and medical activities and outlining professional contributions and accomplishments;
  • Be endorsed by the appropriate ACP-ASIM Governor;
  • Have shown continuing scholarship and professional accomplishments; and
  • Document continuing professional activities, including teaching; hospital committee work; public service and community activities; and participation in continuing medical education activities as both a student and teacher

There are four pathways for advancement to Fellowship. They are:

Pathway 1: Members must have demonstrated skill in written medical communication.

Pathway 2: Members must have significant and continuing certification activities and/or teaching (both institutional and community-based), and/or community activities that indicate professional achievement and scholarship; they must have undergone recertification, or they must have participated in the Medical Knowledge Self-Assessment Program (MKSAP) with a passing score. In addition, subspecialty certification or certificates of special competence in adolescent medicine, critical care medicine, clinical cardiac electrophysiology, geriatrics, or sports medicine can qualify a candidate for this path-way, but are not adequate by themselves.

Pathway 3: Members must have been active members in ACP or ASIM for at least 10 years, with substantial participation in programs and activities, as well as demonstration of other professional accomplishments.

Note: Outstanding candidates who have been active Members for fewer than 10 years may qualify by combining Pathways 1 and/or 2 with Pathway 3.

Pathway 4: Members must have distinguished professional activity in teaching, patient care or professional service over many years.

For a complete copy of the "Requirements for Advancement from Membership to Fellowship," contact your Governor or call ACP-ASIM Customer Service at (800) 523-1546, ext. 2600.

My Thought for this Newsletter

"Let us take time to serve the uninsured and underserved in our community in year 2000."

Capt. Angeline A. Lazarus, MD, FACP
Governor, U.S. Navy Chapter

Attention, Attention, Attention

All Committee members are requested to forward their e-mail addresses to CAPT. Angeline Lazarus via e-mail, bth0aal@bth20.med.navy.mil, telephone, (301) 295-0290 or (301) 318-4148; or fax, (301) 295-5792.